ACTA ENDOSCOPICA
I ~ D A C T E U R S E N C H E F / E D I T O R S P. M A I N G U E T (Bruxelles), F. VlCARI (Nancy)
Ch. FLORENT (Paris), G. G A Y (Nancy), M. J U N G (Mayencc) R I ~ D A C T E U R S / C O E D I T O R S
A l l e m ~ n e : M. CLASSEN (MOnich), M. MAIER (Puttlingen), B. M A N E G O L D (Mannheim), A. PFEIFFER (M~haich).
Ang~terre : A.T.R. AXON (Leeds), Ch. WILLIAMS (Londms).
Belgique : J. BELAICHE (Liege), J~C. DEBONGNIE (Ottignies), P. DEPREZ (Bmxelles), J. DEVIERE (Bruxelles), V. GIL- LARD (Liege).
Eslmgne : J.R. A R M E N G O L M I R O (Barcelone), J. BOIX I VALVERDE (Barcelone), J.M. BORDAS (Barcelone), J.M. POU FERNANDEZ (Barcelone), J.A. RAMIREZ A R M E N G O L (Madrid), J.L. VASQUEZ IGLESIAS (La Corogne).
France : J. BOYER (Angers), J. FAIVRE (Dijon), J.M. CANARD (Paris), R. G I U L I (Paris), J.F. REY (Saint-Laurent-du-Var), D. S A U T E R E A U (Limoges).
Hollande : K. HUIBREGTSE (Amsterdam), G. T Y T G A T (Amsterdam).
ltongrle : L. SIMON (Szekszard).
Italie : G. B A T T A G L I A (Padoue), G. C A L E T T I (Bologne), G. C O S T A M A G N A (Rome), F. ROSSINI (Turin), A. RUSSO (Catane).
Portugal : J.M. CARRILHO RIBEIRO (Lisbonne), DINIZ DE FREITAS (Lisbonne), G I N E S T A L D A CRUZ (Lisboane), LOMBA VIANA (Lisboane),
MASCARENHAS SARAIVA (Lisbonne),
Rnumanie : A, OPROIU (Bucares0, O. PASCU (Cluj Napoca), C. STANCIU (Iasi), Simonn V A L E A N (Clnj),
Suie~e : Ph. MONNIER (Lausanne), M. VOIROL
(Yverdon-les-Bains), Cbrista MEYENBERGER (Saint-Gall).
Tehs : Z: M A R A T K A (Prague).
C O R I P d E S P O N D A N T S Afrique: F. Klotz (Dakar)
Argentine (Buenos Aires) : A n a Maria BOSCO, V.E. FUCILE, Maria Claudia MILANO, C. VARSKY, D. ZAGALSKY.
Canada : N.E. MARCON (Toronto), A. WATIER (Sherbrooke).
Colombie : S. FASSLER (Bogota), A. PENALOZA (Bogota).
Israel : M. BEER G A B E L (J~rusalem), P. ROZEN (Tel Aviv).
Japon : K. K A W A I (Osaka), T. K I D O K O R O (Nagoya), T. N A G A Y O (Nagoya).
Maroc : Naima AMRANI (Rabat), A. BENAISSA (Rabat).
USA : J. WAYE (New York), K.F. BINMOELLER (San Diego).
R U B R I Q U E S
Anapath : Marie-Dauielle DIEBOLD (Reims), Monique FABRE (Paris), Anne JOURET (Bruxelles).
Banes d'essai : Anne LE SIDANER (Limoges), J.Ch. LETARD (Poitiers).
Cas cliniques : J. WEBER (Laxembourg).
Ctelio-chirurgie : J. LEROY (Lisieux), M. V A N KEMMEL (Lille), J. MARESCAUX (Strusbeurg), J.F. G I G O T (Bruxelles), A. MONTORI (Rome).
Eeho-endoscopie : H. G R I M M (Kichl), M. G I O V A N N I N I (Marseille), L. PALAZZO (Paris), V. G I L L A R D (Liege).
Ent6roscopie : G. GAY (Nancy), F.P. ROSSINI (Turin), A. VAN GOSSUM (Bmxelles).
Europe : M. GREFF (Saiat-Laurent-du-Var), V. L A M Y (Charleroi), A. MARTIN (Padoue).
Gyn~cologie : H. Ch. V E R H O E V E N (Dlisseldorf).
F M C - H G E : Ph. H O U C K E (Lille).
Image : J.S. DELMOTTE (Lille), J. L A U R E N T (Nancy).
Organisation des Cours EuropYens d'Endoscopie Digestive : J.Ch. AUDIGIER (Saint-Etienne), F. COSENTINO (Milan), D.
COUMAROS (Strasbourg).
Pgrin~ologie : A. WATIER (Sherbrooke).
Pharmacologic Clinique : A. P A P A Z I A N (Amiens).
Proctologie: P. DIETERLING (Nancy).
Rodiologie : R. D O N D E L I N G E R (Liege), D. Rl~GENT (Nancy).
R.M.N. : Vai~rie L A U R E N T (Nancy), C. MATOS (Bruxelles), P.J. VALETTE (Lyon).
SFED : J. L A P U E L L E (Toulouse).
V~tgrinaire : F. D A R G E N T (Paris).
R I ~ D A C T I O N ENDOSCOPICA BRUXELLES Brit. Les Arches, Site U.C.L., rue Martin V, 40, Boite n ~ 4, B 1200 BRUXELLES.
T61. : 00 (32) 2762.79.68.
I ~ D I T I O N A D M I N I S T R A T I O N ENDOSCOPICA N A N C Y 127, rue Saint-Dizier, 54000 NANCY.
T61. : 03.83.37.44.38 - Fax : 03.83.35.34.53.
e-mail : Endoscopica@ wanadoo.fr Site : www.aeta-endoseopica.eom Direction : F. VICARI.
Seer6tariat-Publicit~ : L. DEVRED.
Photographie: M. MERLE.
Relations : G. GAY.
Conseil Juridique : Ch. D E M O Y E N (Paris).
A B O N N E M E N T S 2 0 0 5 (5 num6ros par an + 2 anm6ros sp~iaux) , Pour la France, port inclns :
Le numdro . . . 43 Abonnement :
Tarif normal . . . 130 Etudiants . . . 82 Pour l'Etranger :
Abonnement (port inr :
Europe . . . 180 Autres pays . . . 195
Les commandes et r~glements sont ~ adresser Orders and payments must be sent to : ENDOSCOPICA, 127, rue Saint-Dizier, F-54000 NANCY
T~I. : 03 83 37 44 38 - Fax : 03 83 35 34 53 - Banque : CrY.tilt Agricole - 6, rue des Michottes,
F-54000 NANCY - Compte n ~ 700 5314 6140
E d i t o r i a l
~ D e s nains juchds sur des (pau/es de g(ants ~ B e r n a r d d e C h a r t r e s
2 0 0 5 , a n n i e de I'Afrique
U n e r e v u e d e la p r e s s e d e ces d e r n i e r s m o i s le c o n f i r m e : << D a v o s e s t e x h o r t 6 ~t un g r a n d e f f o r t p o u r l ' A f r i q u e . M e s s i e u r s Blair, C l i n t o n et le c h a n - t e u r B o n o t e n t e n t de m o b i l i s e r les p a r t i c i p a n t s au f o r u m des r i c h e s , .
U n g r a n d d 6 b a t a eu lieu. << L e G 8 et l ' A f r i q u e , r h 6 t o r i q u e ou a c t i o n ~> a v e c les m ~ m e s p l u s Bill G a t e s et u n c e r t a i n n o m b r e de p r 6 s i d e n t s africains.
P a r m i les p a y s p a u v r e s , les p l u s p a u v r e s s o n t a f r i c a i n s . P a r m i les p a y s a t t e i n t s p a r la m a l a d i e , les plus m a l a d e s s o n t africains. Les p r i o r i t 6 s s o n t l ' e a u , la sant6, l ' 6 d u c a t i o n , la c o m m u n i c a t i o n . Si d e g r a n d s p r o j e t s s o n t n6cessaires, des m i c r o - r 6 a l i s a t i o n s n e d o i v e n t p a s ~tre 6cart6es. ~ L ' a f r o - p e s s i m i s m e a c t u e l d o l t 6tre r e m p l a c 6 p a r u n e a p p r o c h e p l u s fine et p l u s n u a n c 6 e des a t o u t s et d e s c o n t r a i n t e s d u c o n t i n e n t ~> (Sylvie B r u n e l , g 6 o g r a p h e ) . N o t r e a s s o c i a t i o n afri- c a i n e d e F o r m a t i o n C o n t i n u e e n H 6 p a t o - g a s t r o - e n t 6 r o l o g i e ( A A F F C H G E ) d o l t s'inscrire d a n s c e t t e logique.
<~ D a n s n o t r e soci6t6 t e c h n o l o g i q u e ot~ n o u s s o m m e s e n t r a i n d e p e r d r e la d i m e n s i o n h u m a i n e , n o u s a v o n s u n b e s o i n c u l t u r e l d e l ' A f r i q u e ( B e r n a r d G r a n j o n , P r 6 s i d e n t d ' h o n n e u r d e M 6 d e c i n s du M o n d e ) . Je vous i n v i t e ~t lire ce p r o p o s l ' a r t i c l e d e E.C. N d j i t o y a p N d a m en fin d e r e v u e .
Je v o u d r a i s enfin insister sur d e u x p o i n t s essentiels et qui m 6 r i t e n t r6flexion : 1) J. A t t a l i d a n s l ' E x p r e s s d u 03/05/04 6crivait : ~< Les riches f r a n c o p h o n e s ne p e u v e n t p a s e s p 6 r e r q u e les a u t r e s p a y s d e la c o m m u n a u t 6 r e s t e r o n t d u r a - b l e m e n t d a n s l e u r o r b i t e s'ils n ' y t r o u v e n t p a s les m o y e n s de se d 6 v e l o p p e r . E n p a r t i c u l i e r , les 61ites d e l ' A f r i q u e f r a n c o p h o n e i r o n t c h e r c h e r a i l l e u r s u n soutien, des r e l a i s et d o n c u n e c u l t u r e et u n e langue. E l l e s r e j o i n d r o n t - - elles r e j o i g n e n t d6jh - - les universit6s d e s E t a t s - U n i s ; elles se b r a n c h e r o n t sur les r 6 s e a u x de l ' a n g l a i s p o u r la p l u p a r t . . . P o u r c h a n g e r cela, il f a u d r a i t l a n c e r q u e l q u e s p r o j e t s forts.., d 6 c i d e r d e la c r 6 a t i o n d ' u n i n s t r u m e n t f i n a n c i e r sp6- c i f i q u e , c h a r g 6 d ' a i d e r ~t r e n d r e r e n t a b l e s les p r o j e t s d e s i n d u s t r i e s d e la c u l t u r e en p e r m e t t a n t d e faire n a i t r e j o u r n a u x , t616vision, m a i s o n s d ' 6 d i t i o n , p r o j e t s i n f o r m a t i q u e s e n l a n g u e franqaise. A v e c cela, ils p o u r r a i e n t p a r t i c i p e r l ' i n v e n t i o n d ' u n m o d e d e d 6 v e l o p p e m e n t p l u s s o l i d a i r e , plus c u l t u r e l , dia- m 6 t r a l e m e n t o p p o s 6 ?a l ' i n d i v i d u a l i s m e m a t 6 r i a l i s t e a n g l o - s a x o n . L e m o n d e a u r a i t t o u t ~ g a g n e r h c e t t e diversit6 >>.
2) P.A. W i l t z e r ( m i n i s t r e d616gu6 ?a la c o o p 6 r a t i o n ) d a n s un a r t i c l e intitul6
~ u n e n o u v e l l e g 6 n 6 r a t i o n d e f e m m e s a f r i c a i n e s ~> 6crivait : ~ L e s f e m m e s afri- c a i n e s ont u n r61e m o t e u r ~t j o u e r d a n s le d 6 v e l o p p e m e n t du c o n t i n e n t n o i r . . . T r a d i t i o n n e l l e m e n t , la f e m m e o c c u p e u n e p l a c e c e n t r a l e dans les soci6t6s afri- c a i n e s . . . L a c o m m i s s i o n d e l ' U n i o n a f r i c a i n e c r 6 6 e il y a d e u x a n s s u r le m o d u l e d e l ' U n i o n e u r o p 6 e n n e m a i s a v e c les c i n q u a n t e p a y s d ' A f r i q u e , est c o m p o s 6 e d e dix m e m b r e s d o n t , s t a t u t a i r e m e n t , u n e m o i t i 6 d e f e m m e s . D a n s ce d o m a i n e , les A f r i c a i n s s o n t e n a v a n c e sur n o u s ! >~.
L e r 6 c e n t film d e S e m b e n e O u s m a n e ,, M o o l a a d e ~ en t 6 m o i g n e . . , la p r o - p o r t i o n d e c o l l 6 g u e s f e m m e s a f r i c a i n e s q u e n o u s c~Stoyons a u s e i n d e I ' A A F F C H G E p a r r a p p o r t a u n o m b r e d e coll~gues f e m m e s d a n s les C A d e nos soci6t6s s a v a n t e s 6 g a l e m e n t . S a c h o n s e n t e n i r c o m p t e .
Si l ' o n c o n t e m p l e ce q u e la F r a n c e a fait e n u n si~cle en m a t i 6 r e d ' 6 d u c a t i o n et d e sant6 e n A f r i q u e , o n ne p e u t a v o i r q u e le vertige. S e r i o n s - n o u s a u j o u r - d ' h u i ces ~ n a i n s juch6s sur des 6 p a u l e s d e g 6 a n t s , ? P e u t - 6 t r e alors, c o m m e le s o u l i g n a i t B e r n a r d d e C h a r t r e s , p r o f i t o n s d e c e t t e h a u t e u r p o u r v o i r ainsi d a v a n t a g e e t p l u s l o i n q u ' e u x . A c c e p t o n s d e r e l e v e r le d6fi : il f a u t a i d e r l ' A f r i q u e !!!
F e r n a n d V I C A R I
V o l u m e 3 5 - N ~ 2 - 2 0 0 5 I
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A C T A E N D O S C O P I C A assure la publication :
- - d'articles originaux se rapportant I'endoscopie dans ses applications me- dicales et chirurgicales ;
- - de bancs d'essai de materiel e n d o - scopique ;
- - d'analyses bibliographiques.
A C T A E N D O S C O P I C A intdresse :
les Gastroenterologues, Gyn~cologues, O.R.L., Pneumologues, Urologues, Anato- rnopathologistes, Chirurgiens, Echogra- phistes, Radiologues, V~terinaires et tout M~decin ou Technicien curieux de I'endo- scopie.
ACTA ENDOSCOPICA publishes : - - original articles concerning endoscopy
in its medical and surgical applications ; - - experimental studies of endoscopic ins-
trumentations ; - - bibliographical analysis.
ACTA ENDOSCOPICA is published for :
Gastroenterologists, Gynecologists, E.N.T., Pneumologists, Urologists, Anatomopatho- Iogists, Surgeons, Echographists, Radio- logists, Veterinaries and all Physicians interested by endoscopy.
E d i t o r i a l
"Dwarves perched on shoulders o f giants"
B e r n a r d o f C h a r t r e s
2 0 0 5 , t h e y e a r of A f r i c a
A review o f the press over the past f e w months confirms it: <~ Davos is exhor- ted to make a great effort for Africa. Mr. Blair, Mr. Clinton and the singer Bono attempt to mobilize participants o f the f o r u m o f the rich ~.
A great debate took place ~< G8 and Africa, rhetoric or action ~ with the same participants plus Bill Gates and a certain number o f African presidents.
A m o n g p o o r countries, the poorest are African. A m o n g countries stricken by disease, the most stricken are African. The priorities are water, health, educa- tion, and communication. I f great projects are necessary, smaller efforts should not be overlooked. << The current afro-pessimism must be replaced by a finer approach more in tune with the assets and constraints o f the continent ~ (Sylvie Brunel, geographer). Our African association f o r Continuing Education in Hepatic Gastroenterology ( A A F F C H G E ) should be in step with this kind o f reasoning.
<< In our technological society where we are losing the h u m a n dimension, we have a cultural need f o r Africa (Bernard Granjon, H o n o r a r y president o f Mddecins du Monde). I invite you to read further on this subject with E.C. Ndji- toyap Ndam's article at the end o f this review.
Finally, I would like to insist on two essential points which deserve reflection : 1) J Attali wrote in T h e E x p r e s s on 03/05/04: << The rich Francophones can- not hope that other countries in the community will remain in their sphere if they do not find the means for development. In particular, the elites o f French- speaking Africa will seek support, contacts and thus a culture and a language elsewhere. They will attend - - they attend already - - universities in the United States;for the most part they will join English speaking networks... To change that, it would be necessary to launch some strong projects.., create a specific financial instrument, charged with helping to m a k e cultural industries profi- table, giving rise to newspapers, television, publishing houses, and data-proces- sing projects in the French language. With that, they could participate in the invention o f a mode o f development f o u n d e d more in solidarity, more cultural, and diametrically opposed to A n g l o - S a x o n individualist materialism. The world would have everything to gain form this diversity ~.
2) P.A. Wiltzer (delegate Minister for the co-operation) in an article entitled
~< A new generation o f African women ~ wrote: ~< African w o m e n have a driving role to play in the development o f the black continent... Traditionally, women occupy a central place in African societies... The commission o f the African Union created two years ago, based on the model o f the European Union but with the fifty countries o f Africa, is made up o f t e n members half o f which, by statute, are women. In this area, the Africans are way ahead o f us ! ~.
The recent film by Sembene Ousmane << Moolaade ~ testifies to this.., so does the proportion o f African women colleagues within the A A F F C H G E compa- red to the number o f women colleagues in the CA o f our learned societies. Let us take account o f it.
I f one contemplates what France did in one century f o r education and health in Africa, it can only make your head spin. Would we be today these << dwarves perched on the shoulders o f giants ~ ? Perhaps then, as underlined by Bernard o f Chartres, let us benefit from this height to see more and farther than them. Let us agree to take up the challenge: Africa should be helped !!!
Fernand V I C A R I
Acta Endoscopica
